Mindemoya Classic - Register your Team

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This Event is Part of

Register Your Team

* Mandatory field

Team Name * :

Division * :

endurance relay

Member Name 1 * :

Member Name 2 :

Run

Paddle

Pedal

Run

Paddle

Pedal

Member Name 3 :

Member Name 4 :

Run

Paddle

Pedal

Run

Paddle

Pedal

T-Shirt Sizes * :

Contact Email * :
Contact Address :
Contact Phone :

Does the team qualify for one of the following? :

family corporate 40 & over

Team Picture (optional) :
(Upload, max. 2MB)

Comments (Need a partner, canoe or bike?) :

I / We Agree to allow the use of our image for promotional purposes * :

I / We Agree to the waiver as stated below * :

WAIVER

I am aware that I should not enter and participate in this event unless I am medically able and properly trained and have sufficient stamina to safely and successfully complete this event without harm or injury to myself. In consideration of the acceptance of my entry, my heirs, executors, administrators and assigns waive, release and discharge any and all rights and claims for damage against the race directors and all race officials, Mindemoya Classic, the Municipality wherein the event takes place and all participating sponsors and supporters for all claims of damages, demands, action, whatsoever in any manner arising or resulting from my participation. I grant permission to all the foregoing the use of any photographs, or any other record of this event for any legitimate purpose. I also understand that the entry fee is nonrefundable. I have read the entry form provided and certify my compliance by my submission of this entry.


		* Mandatory field

Gallery

2008

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